Introductionlanguage
3 revisions, 21 detailed indicators have changed!
Recently, the National Health and Medical Commission’s Medical Administration and Medical Administration Bureau issued the “Notice on Printing and Distributing the Operational Manual for Performance Evaluation of National Grade II Public Hospitals (2022 Edition)” (hereinafter referred to as the “Notice”).
This revision involves a total of 3 aspects and 21 indicators, of which 8 are “medical quality” indicators, 8 are “operational efficiency” indicators, and 3 are Two of the indicators of “sustainable development” are “satisfaction evaluation” indicators. It can be seen that the indicators of the two dimensions of medical quality and operational efficiency have changed the most.
No.1
Added the assessment of the proportion of essential drugs
Guaranteeing the dosage of selected drugs in national procurement
The contents of the attachment to the “Notice” show that this revision is in In addition to the original content of Indicator 7, the assessment content for the proportion of the number of purchased varieties of essential medicines, the proportion of essential medicine prescriptions used by outpatients, and the proportion of essential medicines used by inpatients is added. Organize the assessment content of the proportion of selected drugs in centralized drug procurement. At the same time, the “Notice” added the proportion of selected drugs for centralized procurement of drugs organized by the state. Among them, the numerator is the number of varieties of the selected drugs that the hospital completed the centralized procurement of drugs organized by the state in the assessment year. The denominator is the number of varieties of the selected drugs that the hospital should complete the centralized procurement of drugs organized by the state in the purchase and sale contracts with volume. The selected drugs for which the purchase and sales contracts with volume have not expired are not included in the assessment of this extended index. The “Notice” proposes that the positioning of essential medicines in secondary public hospitals should rise to a dominant position. At the same time, the notice requires that, according to the “Opinions of the General Office of the State Council on Further Doing a Good Job in Sustaining Supply and Stabilizing Prices of Drugs in Shortage” (Guobanfa [2019] No. 47), will gradually realize that the government-run primary medical and health institutions, the second-level medical and health institutions In principle, public hospitals and tertiary public hospitals should not be less than 90%, 80%, and 60% of the types of essential medicines they are equipped with. (“1” is the national essential drug list, “X” is non-essential drugs, determined by each region according to the actual situation) medication mode, optimize and standardize the medication structure. In addition, this revision further regulates the scope of rational drug use, and further regulates the use of antibiotics. “Operation Manual” shows that, in the assessment year, the average daily dose of antibiotics for adults (DefinedDaily Doses, DDDs10) was analyzed to evaluate the intensity of antibiotic use. DDD, as a unit of drug frequency analysis, is not limited by treatment classification, dosage form and different populations. On the basis of strengthening rational drug use, the revision further standardized the assessment system for the increase of medical income. Increase in Medical Income after Removing Related Items in the new Operation Manual. It is used to reflect the increase in medical income after excluding the income from bulk Chinese medicine decoction pieces, small package Chinese medicine decoction pieces, Chinese medicine formula granules, Chinese medicine preparations in medical institutions, and drugs for rare diseases, long-term prescriptions, and income from negotiated drugs included in the National Medical Insurance Catalog. situation and apply the culling term to indicators 21-22.
No.2
Added the assessment of the proportion of infectious diseases physicians Contents
In this revised new version of the “Operation Manual”, the content of the assessment of the proportion of infectious disease physicians has been added.
According to the content analysis in the “Operation Manual”, this revision aims to understand the current situation of six professional physicians in secondary public hospitals across the country. One of the seven major tasks in the implementation of the “13th Five-Year” National Health and Family Planning Talent Development Plan is to strengthen the construction of urgently needed professionals, including pediatrics, pathology, anesthesia, critical medicine and other urgently needed professionals. And strengthen the construction of traditional Chinese medicine talent team. The “Notice” requires that the number of professional physicians in anesthesia, pediatrics, critical care, pathology, traditional Chinese medicine and infectious diseases can be queried and counted through the electronic registration system. The above professional physicians need to complete the registration and activation in the system and practice in the hospital; The anesthesia, pathology and infectious disease professional physicians also need to maintain the department information of the on-the-job physician.
No3
Add and update relevant job requirements
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Further clarifying the connotation of indicators
“Operation Manual (2022 Edition)” uses the latest normative documents as indicator statistics Basis, such as joining the “Opinions of the General Office of the State Council on Promoting the High-quality Development of Public Hospitals”, “Notice on Printing and Distributing the Actions for the Promotion of High-quality Development of Public Hospitals (2021-2025)”, “In-depth Promotion of the Experience of Sanming City, Fujian Province and Deepening of Medical and Health Care” Implementation Opinions on System Reform” and other documents.
At the same time, according to the relevant questions raised by the hospital in the report, First, the denominator in indicator 10 was revised from “total revenue of consumables in the same period” to “revenue of sanitary materials in the same period” , consistent with the “Supplementary Regulations Implemented by Hospitals”.
Second, in accordance with the work situation, further refine the indicator description. It is mentioned in the “Operation Manual (2022 Edition)” that the performance evaluation index system of second-level public hospitals includes a total of 4 first-level indicators, 10 second-level indicators, and 28 third-level indicators (all quantitative indicators)., including 21 national monitoring indicators. In order to make relevant data comparable, implement dynamic monitoring, and requires to provide explanatory materials if the price adjustment of medical services and the reform of payment methods in each province have a great impact on the assessment indicators.
Unless otherwise stated, the quantitative indicator data of this assessment is based on the previous data for 2021. The assessment work requires that all localities should strengthen data quality control in accordance with the principle of localized management, improve data quality, and constantly explore the application mechanism that uses data quality as a coefficient to adjust index results.
Source/ The official website of the National Health and Medical Commission, World Wide Web, The Paper
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